Provider Demographics
NPI:1205107646
Name:BOCA RATON CARDIOLOGY
Entity type:Organization
Organization Name:BOCA RATON CARDIOLOGY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:STEPHEN
Authorized Official - Middle Name:
Authorized Official - Last Name:BABIC
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:561-368-1207
Mailing Address - Street 1:951 NW 13TH STREET
Mailing Address - Street 2:SUITE 1-E
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33486
Mailing Address - Country:US
Mailing Address - Phone:561-368-1207
Mailing Address - Fax:561-750-3615
Practice Address - Street 1:951 NW 13TH STREET
Practice Address - Street 2:SUITE 1-E
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33486
Practice Address - Country:US
Practice Address - Phone:561-368-1207
Practice Address - Fax:561-750-3615
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-01-17
Last Update Date:2012-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty